Organization Active NPI

H B Therapeutic Services, LLC

  • Clinical Social Worker
  • Columbia, MO
National Provider Identifier
1679594535
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2001024582 Issued in MO
Legal business name
H B THERAPEUTIC SERVICES, LLC
Practice address
2012 Cherry Hill Dr Ste 101
Columbia, MO 65203-5882
Phone
(573) 289-8144
NPI assigned
Jul 23, 2006
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Heidi Annette Blackstun, MSW, LCSW, MBANPI 1821028895
Title
Owner, Clinician
Phone
(573) 289-8144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2001024582 MO Primary

Addresses

Primary practice location

2012 Cherry Hill Dr Ste 101
Columbia, MO 65203-5882

Mailing address

1810 Caledon CT
Columbia, MO 65203-8458
Phone (573) 289-8144

Other practice location 1

3610 Buttonwood Dr
Suite #200
Columbia, MO 65201-3721
Phone (573) 886-8972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040811000173 MO Part B Supplier - Clinic/Group Practice 5294707162 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Locations

1000 W Nifong Blvd
Bldg 1
Columbia, MO 65203
Phone (573) 234-1800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1679594535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 CALEDON CT",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652038458",
            "telephone_number": "573-289-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 CHERRY HILL DR STE 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652035882",
            "telephone_number": "573-289-8144"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3610 Buttonwood Dr",
            "address_2": "Suite #200",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652013721",
            "country_code": "US",
            "telephone_number": "573-886-8972",
            "fax_number": "573-886-8901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "H B THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "BLACKSTUN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER, CLINICIAN",
        "authorized_official_telephone_number": "573-289-8144",
        "authorized_official_credential": "MSW, LCSW, MBA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2001024582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.